How much rates vary
Facilitymedian $324 · 10th to 90th $135 to $1,000Professionalmedian $562 · 10th to 90th $324 to $1,072
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $323.59 Median $323.59 Typical High $1,000.00 | Facility | None | $323.59 | $323.59 | $1,000.00 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $239.88 Median $239.88 Typical High $891.25 | Facility | TC · Technical part | $239.88 | $239.88 | $891.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $323.59 Median $354.81 Typical High $724.44 | Professional | None (both parts) | $323.59 | $354.81 | $724.44 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $87.10 Typical High $154.88 | Professional | 26 · Professional part | $83.18 | $87.10 | $154.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $269.15 Typical High $562.34 | Professional | TC · Technical part | $239.88 | $269.15 | $562.34 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $79.43 Typical High $79.43 | Professional | 26 · Professional part | $79.43 | $79.43 | $79.43 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $389.05 Median $562.34 Typical High $691.83 | Professional | None (both parts) | $389.05 | $562.34 | $691.83 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $97.72 Typical High $131.83 | Professional | 26 · Professional part | $75.86 | $97.72 | $131.83 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $316.23 Median $467.74 Typical High $575.44 | Professional | TC · Technical part | $316.23 | $467.74 | $575.44 |
CareSource Setting Facility Modifier None Typical Low $77.62 Median $229.09 Typical High $389.05 | Facility | None | $77.62 | $229.09 | $389.05 |
CareSource Setting Professional Modifier None (both parts) Typical Low $72.44 Median $107.15 Typical High $125.89 | Professional | None (both parts) | $72.44 | $107.15 | $125.89 |
Cigna Setting Facility Modifier None Typical Low $549.54 Median $549.54 Typical High $933.25 | Facility | None | $549.54 | $549.54 | $933.25 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $20.89 Median $97.72 Typical High $141.25 | Facility | 26 · Professional part | $20.89 | $97.72 | $141.25 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $60.26 Median $281.84 Typical High $407.38 | Facility | TC · Technical part | $60.26 | $281.84 | $407.38 |
Cigna Setting Professional Modifier None (both parts) Typical Low $288.40 Median $1,023.29 Typical High $3,981.07 | Professional | None (both parts) | $288.40 | $1,023.29 | $3,981.07 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $138.04 Typical High $426.58 | Professional | 26 · Professional part | $72.44 | $138.04 | $426.58 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $851.14 Typical High $2,754.23 | Professional | TC · Technical part | $213.80 | $851.14 | $2,754.23 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $72.44 | Professional | None (both parts) | $33.11 | $33.11 | $72.44 |
United Setting Professional Modifier None (both parts) Typical Low $380.19 Median $758.58 Typical High $1,023.29 | Professional | None (both parts) | $380.19 | $758.58 | $1,023.29 |
United Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $91.20 Typical High $131.83 | Professional | 26 · Professional part | $79.43 | $91.20 | $131.83 |
United Setting Professional Modifier TC · Technical part Typical Low $288.40 Median $676.08 Typical High $891.25 | Professional | TC · Technical part | $288.40 | $676.08 | $891.25 |
3 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $162.18 Median $162.18 Typical High $346.74 | Professional | 52 · Reduced service | $162.18 | $162.18 | $346.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $64.57 Median $66.07 Typical High $141.25 | Professional | 53 · Discontinued | $64.57 | $66.07 | $141.25 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $257.04 Median $263.03 Typical High $323.59 | Professional | FX · Film X-ray | $257.04 | $263.03 | $323.59 |
Where Kentucky sits
The same service costs 5.6 times more in Wyoming than in Utah. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Kentucky· 30th of 51
$562
WY $1,380UT $245
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.